Investigation of a Clinical Suicide Risk Assessment

by Demetra T Taylor

Institution: The Ohio State University
Department: EDU Physical Activity and Educational Services
Degree: PhD
Year: 2014
Keywords: Behavioral Sciences; Educational Psychology; Suicide risk assessment
Record ID: 2042952
Full text PDF: http://rave.ohiolink.edu/etdc/view?acc_num=osu1408981316


This study looks to evaluate the effectiveness of a suicide risk assessment tool, the Suicide Risk Assessment Matrix-Adult (S-RAM). The S-RAM is designed to incorporate risk and protective factors and the assumption is that the protective factors will help to influence the risk level of the clients. To answer the question of which variables have an effect on the Overall Suicide Risk Level (OSRL), four key subscales of the S-RAM were evaluated, these are Static, Risk, Protective, and Risk Formulation subscales. An Extreme Groups Design was used to sort the variables and cross tabulations were completed for each subscale to determine if there were any significant correlations and their strength. From this study, it was found that individually, the subscales had a “low” to “moderate” correlation with the “high” OSRL rating. Collectively, within the Risk Formulation subscale, the subscales appeared to correlate more significantly with the OSRL and key variables were highlighted. Further use of the S-RAM would require adjustments to the rating levels to provide consistency in ratings and add capability to score the items rather than using subjective information. The S-RAM does have potential to detect those at high risk for suicide however, the recommended changes would be very crucial to its continued use.